Individual
DR. ENRIQUE R GRISONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10141 BIG BEND RD, 103, RIVERVIEW, FL 33578-7419
(813) 397-1274
(813) 397-1271
Mailing address
PO BOX 743409, ATLANTA, GA 30374-3409
(727) 532-0002
(727) 532-1325
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
ME
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002583200
—
FL
05
—
564642-01
—
AZ
01
—
AZ0884680
BC/BS
AZ
Enumeration date
08/12/2005
Last updated
05/20/2016
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